Crushing injuries twisting or severe whiplash puncture, stab or gunshot wounds some leaks may happen after Brain surgery or spine surgery ear, nose or throat procedures spinal tests or procedures (lumbar puncture or epidural) in fewer cases, a leak may happen without an injury The most common symptom of a spinal csf leak is a headache A cranial csf leak occurs in the skull, and often causes symptoms such as clear fluid leaking from the nose or ear Some csf leaks may heal with bed rest and other conservative treatment Many csf leaks need a patch to cover the hole or surgery to repair the leak.
The spinal manifestations of spontaneous intracranial hypotension are infrequently described and most often encountered when a spinal mri is performed to search for a site of csf leak Typically, mri reveals an extensive nonfocal extradural csf c. Csf leak association's guidelines for epidural blood patches This guide includes precautions, aftercare, and info on rebound intracranial hypertension. A csf leak can occur after some medical procedures such as a lumbar puncture (spinal tap), epidural injections or spinal surgery Sometimes, however, csf leaks occur spontaneously, making the diagnosis a bit more challenging.
Surgical repairs of spinal csf leaks have good success rates in the hands of experienced neurosurgeons, but a subset of patients have persistent symptoms and associated disability. Csf leaks may follow diagnostic or therapeutic lumbar puncture as well as spinal anesthesia and after an inadvertant puncture of the dura following epidural anesthesia or epidural steroid injections (johkura et al
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